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117Salud Uninorte. Barranquilla (Col.) 2010; 26 (1): 117-133

artculo de revisin /review articlerevisin bsica /basic review

Fecha

derecepcin:2defebrerode2010

Fecha

deaceptacin:15demrzode2010

1 Grupo de Investigacin Gentica y Medicina Molecular, Universidad del Norte, Barranquilla (Co-lombia). [email protected] Departamento de Enfermera, Universidad del Norte, Barranquilla. [email protected]: Universidad del Norte, Km 5 via a Puerto Colombia, Barranquilla (Colombia).

Vol. 26, N 1, 2010

ISSN 0120-5552

Resumen

La no segregacin es el fracaso de los cromosomas homlogos en separarse correctamentedurante la meiosis. Esto resulta en la produccin de gametos que contienen una cantidadde cromosomas mayor o menor a la encontrada en una clula normal. Consecuentemente,el individuo puede desarrollar una trisoma o monosoma. La no disyuncin puede ocurriren meiosis I o meiosis II de la divisin celular, es una causa de diversas condiciones mdicasanormales, incluyendo el Sndrome de Down (trisoma del cromosoma 21), Sndrome dePatau (trisoma del cromosoma 13), Sndrome de Edward (trisoma del cromosoma 18) ySndrome de Turner (la presencia de un solo cromosoma X). A pesar de que es la causade numerosos trastornos genticos, an no se conoce su etiologa exacta y el proceso enel cual se lleva a cabo. La no disyuncin se origina en el mayor de los casos de errores enla meiosis II materna, sin embargo, la meiosis paterna y la meiosis I materna inuyen enella. La edad materna se considera como un factor de riesgo de las trisomas, igual que laalteracin de la recombinacin y otros factores que pueden afectar la segregacin cromos-mica, tal como la genotoxicidad y translocaciones cromosmicas. Esta revisin se realizarcon base en artculos publicados entre 2003 y 2009 en ISI Web, Science Direct, PUBMED,SPRINGER y SCIELO; se interpretar y analizar en ella los resultados de estos estudiosque lograron demostrar conclusiones importantes y sobresaltaron factores interesantesque pueden ser el punto de partida para prximas investigaciones.Palabras clave: No disyuncin, monosoma, trisoma, miosis, mitosis, recombina-cin, sindrome, genotoricidad, mutacin cromosmica.

Nondisjunction and chromosomal anomalies

La no disyuncin y las anomalas cromosmicas

Mostapha Ahmad1, Silvera-Redondo C.1, Muna Hamdan Rodrguez2

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118 Salud Uninorte. Barranquilla (Col.) 2010; 26 (1): 117-133

Mostapha Ahmad, Silvera-Redondo C., Muna Hamdan Rodrguez

Abstract

Nondisjunction is the failure of homologous chromosomes to disjoin correctly duringmeiosis. This results in the production of gametes containing a greater or lesser chromo-

somal amount than normal ones. Consequently the individual may develop a trisomal ormonosomal syndrome. Non disjunction can occur in both Meiosis I and Meiosis II of thecellular division. It is a cause of several abnormal medical conditions, including Downssyndrome (trisomy of chromosome 21), Pataus Syndrome (trisomy of chromosome 13),Edwards Syndrome (trisomy of chromosome 18) and Turners Syndrome (the presence ofonly one X chromosome). It is also the main cause of many genetic disorders, however itsorigin and process remains vague. Although it results in the majority of cases from errorsin the maternal meiosis II, both paternal and maternal meiosis I do inuence it. The ma-ternal age is considered a risk factor of trisomies, as well as recombination alterations andmany others that can affect the chromosomal segregation, such as genotoxicity and chro-mosomal translocations. We will review the results of previously realized studies betweenthe years 2003 and 2009, found in ISI WEB, PUBMED, SCIENCE DIRECT,SPRINGERLINKand SCIELO, that led to important conclusions and highlighted interesting factors

that can be the starting point to future investigation.Keywords: Nondisjunction, monosomy, trisomy, Meiosis, Mitosis, Recombina-tion, Syndrome, genotoxicity, chromosomal mutation.

third interrogates, however the rst one has

been answered. The frequency of aneuploid

conditions which is amazingly common and

clinically important in our species is estimated

in approximately 5% of clinically recognizedpregnancies (1). Therefore we will try to re-

combine all the results of previous studies,

in order to reach a conclusion that denes

the causes of chromosomal nondisjunction

and answer the question wheather maternal

age is its only trigger or there are still other

factors behind it?

HOW DOES NONDISJUNCTION

OCCUR?

Nondisjunction is the miss segregation of a

homologous pair of chromosomes during

meiosis (gure 1). It leads to the formation

of a new cell with an abnormal amount of

genetic material. A number of clinical condi-

INTRODUCTION

Investigators have been studying the aneu-

ploids human conditions after the descrip-

tion of the rst case of trisomy 21 (Downsyndrome) on 1959 by Lejeune and Patricia

Jacob. They focused their investigation and

studies on the genesis of this abnormal con-

dition developed by humans. Recently, an-

euploidy was also conrmed experimentally

as a dominant mutator, independent of gene

mutation in other eukaryotes, including Dro-

sophila, yeast, plants, and mice. These studies

were centered in searching about three basic

things; the frequency of aneuploid condi-

tions, the reason of gaining (extra) or loosing(less) chromosomes and the nondisjunctional

mechanism that gives rise to aneuploid con-

ditions. Despite the technological develop-

ment and the number of realized studies in

aneuploid genesis, investigators still dont

have clear answers to the second and the

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tions are the result of this type of chromosomal

mutation.

Homologous chromosomes are identical

chromosomes that can be observed in pairs,

in which 50 % of this amount is inherited from

each parent. Humans have 46 chromosomes,

or 23 homologous pairs. Normally, in meio-

sis the homologous chromosomes attach to

spindle bers (gure 2), which connect the

2 centrioles and become aligned at the cell

equator. Before the rst meiotic division takes

place the homologous pairs migrates to the

cells opposite poles by means of the pulling

action of the spindle bers, and upon meiosis

Source available in: g.cox.miami.edu/Faculty/Dana/gametogenesis.jp.

Figure 1. Normal disjunction in meiosis I and meiosis II

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completion each gamete will have one copy

of every chromosome.

Source available in: Image from Purves et al.

Life: The Science of Biology. 4th ed. by Sinauer As-

sociates (www.sinauer.com) and WH Freeman

(www.whfreeman.com), used with permission.

Figure 2. Spindle bers function in

the cellular division

However, this process can suffer some errorsthat lead to homologous chromosomes sepa-

ration failure and thus both migrate to the

same pole (gure 3). Consequently two types

of gametes are produced, one of which has

two chromosomal copies, whereas the other

lacks one. A zygote which has a chromosome

less than the normal diploid amount (2n-1)

is called monosomic, and that which has an

extra chromosome (2n+1) is trisomic, both

conditions may develop severe abnormalities

that can be fatal (1).

CAUSES AND FREQUENCY OFNONDISJUNCTION IN HUMANS

Meiosis is a process that consists of a number

of check points that regulate cell division

in all its phases to ensure that the cells will

divide and give rise to new ones correctly

without any error. In case an error occurs

these regulating points must correct it. One of

these check points is the spindle bers check-

point which is responsible of three principle

steps; formation of these spindle bers, the

attachment of chromosomes to them and the

adequate segregation of these chromosomes.

When any check point fails in realizing its

correct function, it leads to nondisjunction,

as a result of the incorrect segregation of the

homologous chromosomes.

Despite the insufcient studies about thecauses of nondisjunction, it is known to oc-

cur more frequently in older cells. This is

why older women may give birth to affect

off springs due to an aneuploid abnormality

more than young ones. The risk of a twenty-

years-old mother giving birth to a child with

Down syndrome is about one in two thousand

and it increases to one in thirty in the case of

a forty-ve years old woman. This hypothesis

depends on a simple elucidation that in older

cells the regulating system does not functionas in younger cells and as a consequence the

cell will lose the control. Thus an older cell

undergoing meiosis would be more likely

than a younger one to ignore the constraints

of the spindle checkpoint and hence give rise

to aneuploid cells. This was conrmed by a

study done in patients with Down syndrome

which demonstrated that the incidence of

this syndrome was elevated with increased

maternal age. Many specialists recommend

that women who become pregnant at age 35or older must undergo prenatal testing for

Down syndrome. The probability of preg-

nant fewer than 30 to give birth to a baby

with Down syndrome is less than 1 in 1,000,

but the chance of having a baby with Down

syndrome increases to 1 in 400 in women who

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become pregnant at age 35. The likelihoodof Down syndrome continues to increase as

women ages do, so that by age 42, the chance

is 1 in 60 and by age 49, the chance is 1 in 12.

But using maternal age alone will not detect

over 75% of pregnancies that result in Down

syndrome (10).

No disjunction doesnt only relate with

maternal conditions, but also with paternal

and mitotic conditions. A study veried that

trisomy 21 was 90.9% maternal, 4.5% paternaland 4.5% from a mitotic origin; similar to

distributions reported previously (4). It also

conrmed that nondisjunction doesnt only

take place in meiosis II but also in meiosis I

(MI: 46.1%, MII: 53.9%).Even though it was

established by other studies that MI is 70%

and MII is 30% related to Down syndrome,it was reported that what causes it in 88% of

cases is the extra copy of chromosome 21

derived from the mother, in 8% of the cases

the father provided the extra copy of chro-

mosome 21 and in the remaining 2% Down

syndrome is due to mitotic errors; an error in

cell division which occurs after fertilization

when the sperm and ovum are joined (10). It

was also reported in 82 patients with trisomy

13 that the parental origin was determined in

everycase and in 89% the extra chromosome13 was of maternal originwith an almost equal

number of maternal MI and MII errors (8).

Source available in: www.anselm.edu/.../genbio/nondisjunction.jpg

Figure 3. Nondisjunction in meiosis I and meiosis II

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RELATIONSHIP OF DOWN SYNDROME

INCIDENCE TO MOTHERS AGEMothers Age Incidence of Down SyndromeUnder 30 Less than 1 in 1,000

30 1 in 90035 1 in 40036 1 in 30037 1 in 23038 1 in 18039 1 in 13540 1 in 10542 1 in 6044 1 in 3546 1 in 2048 1 in 1649 1 in 12Source: Hook EG Lindsjo A.Down Syndrome in Live Births

by Single Year Maternal Age.

Until here we achieved to demonstrate that

nondisjunction is from maternal, paternal

and mitotic origin, the distinctive difference

are the frequencies and percentages as we

can see briey in the table below.

Adapted from Hall et al. (6). MI, meiosis I;

MII, meiosis II; PZM, post-zygotic mitotic (11).

The direct exposure to high levels of genotoxic

gaseous and particulate substances from the

engines combustion used in motor vehicles is

required by certain type of occupations. These

occupational exposures may convert into an

important cause of many illnesses, usually

through chromosomal changing mechanisms

that include strand breakage, deletions, sister

chromatid exchange and non-disjunction. To

determine the effect of occupational exposure

in gasoline station attendants and trafc

enforcers, the micronucleus test was used in

three groups: gasoline station attendants, traf-c enforcers and a group of control. A study

showed no relation between MNC frequency

and any of the factors such as age, smoking

habits, alcohol habits and working period.

This was further conrmed in the multiple

regression analysis which showed that only

occupational exposure was a good predictor

ofMNC frequency. The results of this study

Trisomy nMaternal Paternal

PZM (%)

MI (%) MII (%) MI (%) MII (%)Acrocentrics

13 74 56.6 33.9 2.7 5.4 1.4

14 26 36.5 36.5 0.0 19.2 7.7

15 34 76.3 9.0 0.0 14.7 0.0

21 782 69.6 23.6 1.7 2.3 2.7

22 130 86.4 10.0 1.8 0.0 1.8

Non-acrocentrics

2 18 53.4 13.3 27.8 0.0 5.6

7 14 17.2 25.7 0.0 0.0 57.1

8 12 50.0 50.0 0.0 0.0 50.0

16 104 100 0.0 0.0 0.0 0.0

18 150 33.3 58.7 0.0 0.0 8.0

XXX 46 63.0 17.4 0.0 0.0 19.6

XXY 224 25.4 15.2 50.9 0.0 8.5

Source: Hall et al. (6). MI, meiosis I; MII, meiosis II; PZM, post-zygotic mitotic (11).

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suggest that gasoline station attendants and

trafc enforcers, compared to the control indi-

viduals, are at a greater risk of chromosomal

damage. For the assessment of chromosomal

damage, the study, development, and stan-

dardization of tests are recommended for

public institutions concerned with matters

regarding environmental quality and com-

munity health (12).

It was also shown in six males(13), carriers

of Robertsonian translocation that higher

incidences of aneuploid sex chromosomes

in spermatozoa were found in three Rob

translocation carriers, which indicated thatthe ICE (interchromosomal effect) on sex

chromosome is likely in some male carriers

of Rob translocations. This study suggests

that genetic counseling is important for the

carriers of Rob translocations. In order to

maximize the chances of normal pregnancy,

they highly recommend that normal or bal-

anced embryo should be selected for transfer

by preimplantation genetic diagnosis analysis

of translocation chromosome, accompanied

with a preimplantation genetic screening forsex chromosome aneuploidy (13).

On the other hand meiotic origin and the

stage of non-disjunction of the extra X chro-

mosomes in two sisters with 47, XXX chro-

mosomal complements were studied (14) and

demonstrated that the lack of recombination

in the X chromosomes suggests a possible

maternal genetic defect leading to an er-

ratic recombination at MI. This information

may contribute to further understanding ofmechanisms leading to X chromosome non-

disjunction and may assist in counseling of

families with this chromosomal rearrange-

ment (14).

CHROMOSOMAL MUTATIONAND ITS CLASSIFICATION

Chromosomal mutations are variations fromthe wild-type condition in either chromosome

structure or chromosome number. Variation

in chromosome number includes aneuploids,

which do not involve whole sets of chromo-

somes (genomes) but only parts of a set (ge-

nome) (aneu-uneven; ploid-unit). They may

be of the following types:Monosomy;diploid

organisms which lack one chromosome of

a single homologous chromosome pair are

called monosomics and have the genomic

formula 2n -1. A monosomic produces twokinds of gametes (n) and (n-l), as the single

chromosome missing a pairing partner may

travel to either pole during meiosis. In plants

n -1 gametes remain non-functional, whereas

in animals they result in genetic imbalance

which is manifested by high mortality or

reduced fertility. Nullosomy; diploid organ-

isms which have lost a pair of homologous

chromosomes are called nullosomics and

posses the genomic formula 2n-2. The nul-

losomics exhibit reduced vigor, fertility andsurvivability, but polyploidy nullosomics

such as nullosomic hexaploid, having (6n-2)

survive to maturity due to the genetic redun-

dancy in polyploidy.Trisomy;diploid organ-

isms which have one extra chromosome are

called trisomies. They have the chromosomal

formula 2n+1. In a trisomic, one of the chro-

mosomal pairs has an extra member, forming

a trivalent structure during meiosis. During

anaphase, two chromosomes travel to one

pole and the third to another. Thus, two typesof gametes n + 1 and n are resulted. Trisomy

has variable effects on the phenotype of the

organism. In humans trisomy of autosome 21

causes Down syndrom. Tetrasomy, it results

when one chromosome of a diploid organ-

ism is present in quadruplicate. Tetrasomics

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have the chromosomal formula 20+2. During

meiosis a quadrivalent is formed by extra

chromosomes and segregation of chromo-

somes occurs like autotetraploids. Double

Trisomy; in a diploid organism when two

different chromosomes are represented in

triplicate, double trisomy results. A double tri-

somic has the chromosomal formula 2n+1+1.

Although euploidy (eu-true or even; ploid-

unit) designates genomes containing whole

sets of chromosomes, it is very important to

distinguish between aneuploid conditions

mentioned previously and mixoploidy (mo-

saics), which refers to the presence of two cell

lines, one diploid and the other polyploid.Though polyploidy in humans is not viable,

mixoploidy has been found in live adults and

children. Mixoploidy consists of two types:

diploid-triploid mixoploidy, in which some

cells have 46 chromosomes and others have

69. Diploid-tetraploid mixoploidy, is charac-

terized by cells having 46 chromosomes and

others having 92. Euploids are organisms that

posses balanced set or sets of chromosomes

or genomes in any number, in their body

cells. Euploidy is of the following types:Monoploidy, in this case organisms have

one genome (n) in their body cells. When

monoploidy occurs in gametes (sperms and

eggs) it is termed as haploidy. Diploidy, is

characterized by two genomes (2n) in each

somatic cell of diploid organisms. Most

animals and plants are diploids. Diploidy is

related with fertility, balanced growth, great

vigorosity, adaptability and survivability of

the diploid organisms. Polyploidy is the

condition where organisms have more thantwo genomes. Among plants and animals,

polyploidy occurs in a multiple series of 3,

4, 5, 6, 7, 8, etc., of the basic chromosome or

genome number and thus causes triploidy,

tetraploidy, pentaploidy, hexaploidy, hepta-

ploidy, octaploidy, respectively. Ploidy levels

higher than tetraploid are not commonly

encountered in natural populations, but our

most important crops and attractive owers

are polyploidy, e.g., wheat (hexaploid, 6n),

strawberries (octaploid, 8n), many commer-

cial fruit and attractive plants, liver cells of

man, etc. Variation in chromosomal structure

includes deletion (loss), duplication (gain),

inversion (a segment of a chromosome is

reversed end to end), and translocation

(exchange segments). These mutations in

chromosomal structure are caused by unequal

crossover and/or abnormal segregation of

chromosomes during mitosis. Unbalanced

chromosomal rearrangement has loss orgain of genetic material, which may causes

phenotype disorders or diseases. Balanced

chromosomal rearrangement may also cause

mutations through changes in gene expres-

sion.

LETHAL AND NON-LETHAL HUMANANEUPLOID CONDITIONS

Aneuploid conditions are divided into lethaland nonlethal. Lethal aneuploid conditions

are related to gene dose and its importance in

the development. Each normal cell contains 46

chromosomes (1 pair of sex chromosomes that

can be XX in females or XY in males and 22

pairs of autosomal chromosomes). In order to

develop appropriately, the cell must contain

the correct dose of genes and each gene in its

correct position. A change in the gene dose

and position can occur by removing or adding

chromosomes to the normal set resulting indisproportion and developmental problems.

Not all gene duplication or silencing cases are

lethal; it is the addition or loss of a chromo-

some that contains 1000 or more genes, that

results in lethality. Down syndrome, caused

by trisomy 21 is an example that demonstrates

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the cells tolerance to small changes but not

to large ones. Chromosome 21 contains a

small number of genes for it is one of the

smallest chromosomes, thus any change in

it will not lead to mayor effects approving

why Down syndrome is not a lethal condi-

tion. On the contrary, when a large amount

of genes contained by large chromosomes is

involved, it may be lethal, this occurs mainly

with autosomal chromosomes, where as in

sex chromosomes it is less probable. The X

chromosome can illustrate such condition,

despite of its large size only one is involved

in the female development. On other hand,

the Y chromosome contains a few genes but

is indispensable in male development. From

these explanations we can understand that in

some conditions where the sex chromosomes

are involved lean not to be lethal, however,

the YO condition is fatal due to the lack of

the essential X chromosome.

Down syndrome, described for the rst time

by Jerome Lejeune and Patricia Jacobs in 1959

Source: Copyright 2004 Nature Publishing Group. S. E. Antonarakis et. al., Chromosome 21 and Down

syndrome: from genomics to pathophysiology, Nature Reviews Genetics, 2004; 5: 725-738.

Figure 4. Chromosome 21 and involved genes in Down syndrome

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is the most important non-fatal trisomy in hu-

mans. Caused by the presence of an extra copy

of chromosome 21(gure 4), it gives rise to an

extra set of genes leading to an over expres-

sion of the involved ones and an increase in

the production of certain products. For most

genes, their over expression has little effect

due to the bodys regulating mechanisms of

genes and their products, but those causingDown syndrome appear to be an exception.

They are Superoxide Dismutase DOS1 ( its

over expression may cause premature ag-

ing and decreased function of the immune

system and its role in Senile Dementia of the

Alzheimers type or decreased cognition is

still speculative)(2), COL6A1( its over expres-

sion may be the cause of heart defects) (2),

ETS2 ( its over expression may be the cause

of skeletal abnormalities) (2), CAFA1( its

over expression may be detrimental to DNA

synthesis)(2), Cystathione Beta Synthase or

CBS and GART (their over expression may

disrupt DNA metabolism and repair ) (2),

DYRK ( its over expression may be the causeof mental retardation) (2), CRYA1( its over

expression may be the cause of cataracts )

(2), IFNAR or the gene coding for Interferon(

its over expression may interfere with the

immune system as well as other organs)(2).

Other genes that also represent suspects in-

Growth failureMental retardation

Flat back of head

Abnormal ears

Many loopson finger tips

Palm crease

Special skinridge patterns

Unilateral or bilateral

absence of one rib

Intestinal blockage

Umbilical hernia

Abnormal pelvis

Disminished muscle tone

Broad flat face

Slanting eyesEpicanthic eyefoldShort nose

Short andbroad hands

Small andarched palateBig, wrinkled tongueDental anomalies

Congenial heartdisease

Enlarged colon

Big toeswidely spaced

Source available in: www.herdaily.com/blogimg/health/symptoms_1.jpg

Figure 5. Physical presentation of Down syndrome

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inuenceson the mechanisms that determine

non-disjunction of human chromosomes,

consistent with the diversity of ndings for

other trisomies.

GENETIC DISORDERS CAUSED BYROBERTSONIAN TRANSLOCATION,MOSAICS AND RING CHROMOSOME

Some syndromes result from mosaics or

Robertsonian translocation. Robertsonian

translocation is a common and signicant

type of chromosome rearrangement that is

formed by fusion of the whole long armsof two acrocentric chromosomes (chromo-

somes with the centromere near the very

end). They are also known as whole-arm or

centric-fusion translocations or rearrange-

ments. Robertsonian translocations are

named for the American insect geneticist

W.R.B. Robertson who rst described this

form of translocation in the grasshoppers

in 1916. One in about 900 babies is born

with a Robertsonian translocation making

it the most common kind of chromosomesrearrangements known in humans. All ve

of the acrocentric chromosomes in humans

(chromosome number 13, 14, 15, 21 and 22)

have been found to engage in Robertsonian

translocations. The formation of Robertso-

nian translocations was discovered by Hecht

and coworkers to be highly nonrandom. In

balanced form, a Robertsonian translocation

takes place between two acrocentric chro-

mosomes and results in no problems for the

person carrying it. But in unbalanced form,Robertsonian translocations produce chro-

mosome imbalance and cause syndroms of

multiple malformations and mental retarda-

tion. Robertsonian translocations between

chromosomes 13 and 14 lead to trisomy 13

(Patau) syndrome. Robertsonian transloca-

tions between chromosomes 14 and 21 and

between 21 and 22 do also result in other

syndroms.

Normally, when an egg and a sperm are joined

at conception, a single cell is created with a

total of 46 chromosomes. These chromosomes

are copied, the copies are separated, and

the cell then divides to create two identical

daughter cells. The chromosomes in these

two cells are copied, the copies divide, and

four cells are created. These four cells become

eight cells. Eight cells become 16 cells, and

so on. If nothing disrupts the chromosome

replication and separation process, each cellin the body should have the same number

of chromosomes that were present in the

fertilized egg. However, errors can occur in

this replication and separation process. Two

mechanisms have been proposed to explain

why a child may be born with mosaic Down

syndrome. The most likely explanation is that

an extra copy of chromosome 21 was present

in the egg or the sperm at the time of concep-

tion. However, shortly after conception, an

error occurred in the chromosome replicationand separation process, and the extra copy

of the chromosome 21 was not passed on to

both cells. In this way, a second cell grouping

was created with only 46 chromosomes. If

this error in the chromosome replication and

separation process occurred at the 4 cell stage,

1/4 of the cells would have 46 chromosomes

and 3/4 would have 47 chromosomes. If the

error occurred at the 8 cell stage, 1/8 of the

resulting cells would have 46 chromosomes

and 7/8 would have 47. It is also possible thata child with mosaic Down syndrome inher-

ited a total of 46 chromosomes at the time of

conception. If this was the case, then the error

in chromosomal separation, which resulted in

the formation of a second cell grouping with

an extra chromosome 21, occurred early in

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the babys development, this is the mosaics

which can result also in other syndromes

like Patau syndrome, Turner syndrome, etc.

On the other hand, many genetics disorders

may arise from ring chromosome, which is

a chromosome whose arms have fused to-

gether to form a ring. A ring chromosome is

denoted by the symbol r. Ring chromosomes

may form in cells following genetic damage

by mutagens like radiation, they may also

arise spontaneously during development.

Although ring chromosomes are very rare,

they have been found in nearly all human

chromosomes. Disorders arising from the

formation of a ring chromosome includering chromosome 20 syndrome where a ring

formed by one copy of chromosome 20 is

associated with epilepsy. Ring chromosome

14 and ring chromosome 13 syndrome are

associated with mental retardation and dys-

morphic facial features. Ring chromosome 15

is associated with mental retardation, dwarf-

ism and microcephaly. Ring formation of an

X-chromosome causes Turner syndrome.

Symptoms seen in patients carrying ring

chromosomes are more likely to be caused bythe deletion of genes in the telomeric regions

of affected chromosomes, rather than by the

formation of a ring structure itself.

Abnormalities in the autosomal chromosomes

is not the only consequence of non disjunc-

tion, sometimes the sex chromosomes will

also be involved and affect the individuals

secondary sexual characteristics and fertil-

ity. For example, Klinefelters syndrome, in

which only the gonosomal chromosomes areaffected and the autosomal ones are normal.

It results from of the fusion of an XY sperm

with a normal X egg, or the fusion of a Y

sperm with an XX egg. Individuals affected

by Klinefelters syndrome, usually have

below-average intelligence (gure 7) (3). 75

% of these individuals present the karyotype

47, XXY (gure 8). Approximately 20% of the

cases result from chromosomal mosaicism

which is the major cause represented in 46,

XY/47, XXY. Other variants including 48,

XXYY, 48, XXXY, and 49, XXXXY exist in 5%

of the cases (3) that were rst described by

Fraccaro and Lindsten in 1960.

Source available in: bp0 .blogger.com/.../

Klinefelter%2Bsyn drome. jpg

Figure 7. Symptoms of klinefelter syndrome

Orit R et al. reported the determination of

the meiotic origin and the stage of non-dis-

junction of the extra X chromosomes in two

sisters with 47, XXX chromosomal comple-

ment (9). Segregation of the X chromosomes

in all family members was analyzed using

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X-linked short tandem repeat polymorphic

(STRP) markers. Densitometric analysis of

two STRP markers conrmed that both sis-

ters had three copies of the X chromosome

and the extra X chromosomes were mater-

nally derived. Both sisters did not share the

same maternal homologue, suggesting that

the recurrent trisomy is non-homologous X

chromosome-specic. Haplotype analysis

demonstrated a reduction to homozygosity

for markers examined, covering most of the

length of the X chromosomes in both sisters.

These ndings suggested that the extra X

chromosomes have derived from meiotic II

non-disjunction following a null transitionalmeiosis I (MI). A lack of recombination in the

X chromosomes of both sisters suggests a

possible maternal genetic defect leading to an

irregular recombination at MI. This informa-

tion may contribute to further understanding

of mechanisms leading to X chromosome

non-disjunction and may assist in counsel-

ing of families with this chromosomal rear-

rangement (9).

Individuals with Turners syndrome (XO) arefemales with a single X chromosome. They

are sterile, possess underdeveloped second-

ary sexual characteristics and they are shorter

than normal. This condition occurs in about

1 in 2500 females births worldwide(54).

Females with genetic constitution XXX, on the

other hand, have a normal appearance and are

fertile, but suffer from a mild mental handi-

cap. Similarly, XYY males have relatively few

clinical symptoms and appear phenotypicallynormal. They are taller than average and may

show aggressive behavior and below-average

intelligence. Both XXX and XYY conditions

usually pass undiagnosed (3).

Source available in: www.herdaily.com/

blogimg/health/symptoms_1.jpg

Figure 8. Male Karyotype with

klinefelter syndrome

CONCLUSION

The analysis and interpretation of theseresults can bold the principal causes of non-

disjunction such as, the maternal age, as it

elevates the risk of nondisjunction (8), meiotic

errors in both phases (I and II) which was

demonstrated in many studies(46.1 % MI, 53.9

M II (6) , paternal and maternal origin(90.9

% maternal and 4.5 % paternal) (4) (90.7%

maternal and 5.5 paternal (6) , mitotic errors

(4.5 % mitotic origin (4) 3.8 % mitotic origin

(6), lack of recombination(9), exposure to toxic

substances (12) and as a especial case ; non-disjunction that affect sex chromosomes and

has a major incidence in translocation carriers

(Robertsonian translocation)(13). Thus the

chromosomal nondisjunction doesnt have a

unique cause, it is the result of meiotic errors of

paternal and maternal origin and many other

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N

factors such maternal age, translocations and

exposure to toxic substances. There are dif-

ferences in the frequencies and percentages

of the errors incidence as shown throughout

the review (11). 50 years of researches about

aneuploid conditions, give rise to information

about the incidence, frequency, source and

the mechanisms in which nondisjunction and

aneuploid condition takes place. Nowadays

we consider that we have nished the easy

part, but still have to search for the difcult

one, which is the treatment, prevention and

avoiding the occurrence of these abnormali-

ties, so will it be possible?

Conficto de inters: nnguno

Financiacin: Universidad del Norte

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